Individual
TONI JO COPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1265 ROOSEVELT TRL, RAYMOND, ME 04071-6608
(413) 977-9592
Mailing address
1265 ROOSEVELT TRL, RAYMOND, ME 04071-6608
(413) 977-9592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC7800
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7800
MELICENSE
ME
Enumeration date
12/07/2022
Last updated
01/01/2026
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